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Purdue Print & Digital Services delivered by Xerox 698 Ahlers Drive, West Lafayette, IN 47907765.494.2006 fax: 765.496.2961 [email protected]
Rev. 7/18
Completed by the DEPARTMENT:
name ________________________________phone _______________ email_________________________________
date ________________________________number of pieces _____________________________________________
ONLY ONE ACCOUNT NUMBER MUST BE FILLED IN BELOW
Completed Internally by M.A.I.L. Inc.:
date received run number tracking number
BUILDING ABBREVIATION DEPARTMENT
(Choose one)
None
Delivery ConfirmationProvides USPS confirmation of delivery
Signature ConfirmationRequires a signature of recipient to confirm delivery
CertifiedAffix the certified mail slip on envelope or package. Sender receives a mailing receipt, and the mail recipient must sign for the envelope or package.
SPECIAL SERVICES:
(Optional)
Return Receipt Provides USPS confirmation of delivery and must be affixed to back of envelope
RegisteredProvides maximum security. Includes proof of mailing and the date / time of delivery or attempted delivery.
Insurance: Amount $ ________
WBSE (C. format) (10 digits, ex: C.XX.XXXXX)
BUSINESS PARTNER(9 digits)
WBSE (F. format)(17 digits, ex: F.XXXXXXXX.XX.XXX)
INTERNAL ORDER(10 digits)
USE FOR USPS DOMESTIC MAIL ONLYFor FedEx or UPS shipments, please use the Form 23 found under “Forms” located at: www.purdue.edu/materials
DO NOT HAND WRITE ON FORM DO NOT PHOTOCOPY
